How much rates vary
Facilitymedian $676 · 10th to 90th $398 to $3,388Professionalmedian $776 · 10th to 90th $398 to $1,549
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $3,090.30 | Facility | None | $398.11 | $616.60 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $354.81 | $478.63 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $218.78 | Professional | 26 · Professional part | $87.10 | $125.89 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $831.76 | Professional | TC · Technical part | $269.15 | $338.84 | $831.76 |
BCBS North Dakota Setting Facility Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $4,073.80 | Facility | None | $2,290.87 | $2,754.23 | $4,073.80 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $602.56 Median $776.25 Typical High $912.01 | Professional | None (both parts) | $602.56 | $776.25 | $912.01 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $186.21 Typical High $218.78 | Professional | 26 · Professional part | $144.54 | $186.21 | $218.78 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $588.84 Typical High $691.83 | Professional | TC · Technical part | $457.09 | $588.84 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $676.08 Typical High $1,174.90 | Professional | None (both parts) | $407.38 | $676.08 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $213.80 | Professional | 26 · Professional part | $85.11 | $128.82 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $512.86 Typical High $1,000.00 | Professional | TC · Technical part | $302.00 | $512.86 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $3,388.44 | Facility | None | $398.11 | $398.11 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,202.26 Typical High $5,370.32 | Professional | None (both parts) | $478.63 | $1,202.26 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $181.97 Typical High $812.83 | Professional | 26 · Professional part | $93.33 | $181.97 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $1,023.29 Typical High $4,897.79 | Professional | TC · Technical part | $363.08 | $1,023.29 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $794.33 Typical High $1,202.26 | Professional | None (both parts) | $398.11 | $794.33 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $158.49 Typical High $208.93 | Professional | 26 · Professional part | $89.13 | $158.49 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $676.08 Typical High $1,023.29 | Professional | TC · Technical part | $302.00 | $676.08 | $1,023.29 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $194.98 Typical High $346.74 | Professional | 52 · Reduced service | $177.83 | $194.98 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $141.25 | Professional | 53 · Discontinued | $70.79 | $79.43 | $141.25 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $724.44 Median $933.25 Typical High $1,096.48 | Professional | 22 · Increased work | $724.44 | $933.25 | $1,096.48 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $154.88 Typical High $181.97 | Professional | 55 · Aftercare only | $120.23 | $154.88 | $181.97 |
Where North Dakota sits
The same service costs 5.6 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Dakota· 8th of 51
$776
WY $1,380UT $245
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.